Abstract
This paper addresses the impact of several factors on rates of sexually transmitted disease (STD) in the United States. Similar to existing studies, which proxy health outcomes by mortality rates or life expectancy, we find that health care spending improves health outcome. That is, using annual data over the 1960–1997 period, rates of syphilis, gonorrhea, and chancroid fall with increases in per capita health care expenditure. Furthermore, per capita income, per pupil education expenditure, as well as a host of socio-demographic variables, also affect STD rates.